Mrs. Samira Razzaq

NP | Pediatric Adolescent Medicine | Female

---

Complete Profile:

Mrs. Samira Razzaq basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Mrs. Samira Razzaq
Credential :	NP
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Mrs. Samira Razzaq address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	451 Broadway Bayonne, NJ, 07002-3623 United States
Phone Number :	201-823-3769

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1306317094
NPI Entity Type :	Individual
First Enrolment Date :	06 Dec, 2018
Last Updated On :	06 Dec, 2018

Medicare Participation:

Mrs. Samira Razzaq participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9830428218
Medicare Enrollment ID :	I20201130002599
Primary Specialty :	Nurse Practitioner
Medical School :	Other
Graduation Year :	2018
Accepts Medicare?	Yes. Mrs. Samira Razzaq accepts medicare insurance.

Group Practice Association:

Mrs. Samira Razzaq is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mrs. Samira Razzaq is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Hartford Hospital	2567366016	778	80 Seymour St Hartford, CT - 061028000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Samira Razzaq are as mentioned. Primary taxonomy code for Mrs. Samira Razzaq, NP is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	26NJ00884800	NJ

Legacy Identifiers:

Other legacy medical identifiers of Mrs. Samira Razzaq such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
26NJ00884800	Other	NJ	REGISTERED NURSE PRACTITIONER

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	27 Silver St Bayonne, NJ, 07002-4345 United States
Phone Number :	072-564-4644

Business Location:

Patients can refer following map for directions to Mrs. Samira Razzaq practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.